Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

TYRIS BROADHURST
NPI 1861390254
Social Worker - Clinical in Goldsboro, NC

Active since October 27, 2026
2719 GRAVES DR STE 5, GOLDSBORO, NC 27534(919) 330-4367 Get Directions Write a Review

NPPES record added: October 27, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Tyris Broadhurst NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TYRIS BROADHURST (NPI 1861390254) is an individual clinical provider in Goldsboro, North Carolina, licensed in North Carolina (P024793) and active in the NPI registry since October 2026.

NPPES Registry Identity

NPI1861390254
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameTYRIS BROADHURST
Location Address2719 GRAVES DR STE 5Goldsboro, NC 27534-4536
Mailing AddressPo Box 883Dudley, NC 28333-0883
Sole ProprietorNo
Enumeration DateOctober 27, 2026
NPPES CertifiedOctober 27, 2026
✔ NPI 1861390254 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in NC · P024793
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
2719 GRAVES DR STE 5, Goldsboro, NC 27534

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
2719 GRAVES DR STE 5
GOLDSBORO, NC 27534
Counselor (Mental Health)
2719 GRAVES DR STE 5
GOLDSBORO, NC 27534
Counselor (Professional)
2719 GRAVES DR STE 5
GOLDSBORO, NC 27534
Social Worker (Clinical)
2719 GRAVES DR STE 5
GOLDSBORO, NC 27534
Social Worker (Clinical)
2719 GRAVES DR STE 5
GOLDSBORO, NC 27534
Nurse Practitioner (Psychiatric/Mental Health)
2719 GRAVES DR STE 5
GOLDSBORO, NC 27534
Social Worker (Clinical)
2719 GRAVES DR STE 5
GOLDSBORO, NC 27534
Social Worker (Clinical)
2719 GRAVES DR STE 5
GOLDSBORO, NC 27534

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tyris Broadhurst's NPI number?

The NPI number for Tyris Broadhurst is 1861390254. It was assigned to this individual provider in the NPPES registry on October 27, 2026.

Where is Tyris Broadhurst located?

Tyris Broadhurst practices at 2719 Graves Dr Ste 5, Goldsboro, NC 27534. The listed phone number is (919) 330-4367.

What is Tyris Broadhurst's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Tyris Broadhurst was last updated on October 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.